| NPI | 1780669739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: GA 068869) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 213411) |
| 207P00000X Emergency Medicine (Licence: NY 243910) | |
| 207P00000X Emergency Medicine (Licence: PA MD433123) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD433123) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2014-06-03 |